Individual provider Active NPI

Bryan Thomas Rhoads, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1982033171
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA207600 Issued in OR
Practice address
9135 SW Barnes Rd Ste 668
Portland, OR 97225-6683
Phone
(503) 216-8250
NPI assigned
Nov 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 60426945 WA
Physician Assistant 363A00000X PA207600 OR Primary
Physician Assistant 363A00000X PA60426945 WA

Addresses

Primary practice location

9135 SW Barnes Rd Ste 668
Portland, OR 97225-6683

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

9430 NE Vancouver Mall Dr
Vancouver, WA 98662-6172
Phone (360) 253-6947

Other practice location 2

2101 NE 139th St Ste 450
Vancouver, WA 98686-2325
Phone (360) 487-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140219000059 WA Practitioner - Physician Assistant 8123257078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

2101 NE 139TH St
Suite 460
Vancouver, WA 98686-2325
Phone (360) 487-2727

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA207600ORMDPhysician Assistant
PA60426945WAMDPhysician Assistant
60426945WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Nov 16, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Nov 21, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 16, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Nov 21, 2025 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621

9135 SW Barnes Rd
Ste 668
Portland, OR 97225
Phone (503) 216-8250

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2101 NE 139th St
Ste 450
Vancouver, WA 98686
Phone (360) 487-4848

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1982033171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD STE 668",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256683",
            "telephone_number": "503-216-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9430 NE Vancouver Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626172",
            "country_code": "US",
            "telephone_number": "360-253-6947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 NE 139th St Ste 450",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862325",
            "country_code": "US",
            "telephone_number": "360-487-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHOADS",
        "first_name": "BRYAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "60426945",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA207600",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60426945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.